Please complete this form and return to us

First name:
Last name:
Title:
Organization:
Address:
City:
State or Prov:
Postal code:
Country:
Phone:
Fax:
E-mail address:
Comments:
When you are done

HOP LUC CERAMIC BAT TRANG GIA LAM - HANOI

Add: II Humlet - Bat Trang village - Gia Lam dist - Hanoi - Vietnam
Tel: (84.4) 8 740792 - Fax: (84.4) 8 740500

E-mail: hopluchn@hn.vnn.vn * Website: http://www.hoplucceramic.com